36-056 (2) INSURANCE COVERAGE:
I have a current liability insurance policy or its equivalent which meets the requirements of M.G.L.Ch.112 Yes❑ No❑
If you have checked Yes,indicate the type of coverage by checking the appropriate box below:
A liability insurance policy Other type of indemnity ❑ Bond ❑
OWNER'S INSURANCE WAIVER:I am aware that the licensee dne,c nnf have,the insurance coverage required by Chapter 112 of the
Massachusetts General Laws,and that my signature on this permit application waives this requirement.
" Check One Only
Owner Agent ❑
Signature of Owner or 0 II. Agent
By checking this box,I hereby certify that all of the details and information I have submitted(or entered)regarding this application are true and
accurate to the best of my knowledge and that all sheet metal work and installations performed under the permit issued for this application will be
in compliance with all pertinent provision of the Massachusetts Building Code and Chapter 112 of the General Laws.
Duct inspection required prior to insulation installation: YES NO
Prngrpcc incrertions
Date Comments
Final IncpPctiori
Tate
Type of License:
By Master
Title ❑ Master-Restricted lArAIMA"-- (a Nil
City/Town ❑Journeyperson
Signature of Licensee
Permit# Q�
❑Journeyperson-Restricted
License Number:
Fee$ ❑
Check at www macc gnvlrfpl
Inspector Signature of Permit Approval
REGJ--1
Commonwealth of Massachusetts
‘_ 1 2013 City Of Northampton
of•UILDINGI I•NS f Sheet Metal Permit 4;m 114 - g
DE-...T�11aitN, A 1iia
Permit#
Estimated Job Cost: $ J....) Permit Fee: $ 5� lj,4
5► 7 �
Plans Submitted: YES NO Plans Reviewed: YES NO
Business License# '03 Applicant License# CIO 5
Business Information: L Property Owner/Job Location Information:
Name: AI ?\U.S 11 tiro c. I T( Name: >\ �
` o ,f)
Street, CD i V CC C\.iL-- Street: WOC6 -b6 ')�,
City/Townk,,�1�2 k1QY NA 0V- c City/Town: VA OCe.t()c.. � �4\ Q) �
Telephone: q) (3u-a SL, Telephone: )--' 0 ' / 5 1 1LA Ln
Photo I.D. required/Copy of Photo I.D. attached: YES X, NO
Staff Initial
J-1 /M-1-unrestricted license
J-2 /M-2-restricted to dwellings 3-stories or less and commercial up to 10,000 sq. ft. /2-stories or less
Residential: 1-2 family" Multi-family Condo/Townhouses Other
Commercial: Office Retail Industrial Educational
Institutional Other
Square Footage: under 10,000 sq. ft. ,X, over 10,000 sq. ft. Number of Stories:
Sheet metal work to be completed: New Work: Renovation:
HVAC)Q Metal Watershed Roofing Kitchen Exhaust System
Metal Chimney/Vents Air Balancing
Provide detailed description of work to be done:
nsfi c k
m 06i 1N,3- t\% ` i,_ , ‘,0,t
. vu .b0
Vz) - N.... CO\\
Fees with Building Permit:$25.00 Residential,$50.00 Commercial. Fees for jobs without a Building Permit$6.00 per$1000
Minimum fees for jobs without Building Permit$50.00 Residential,$100.00 Commercial
File#SM-2014-0008
APPLICANT/CONTACT PERSON A PLUS HVAC INC
ADDRESS/PHONE 26 AIRPORT DR (413)562-0054
PROPERTY LOCATION 41 REDFORD DR
MAP 36 PARCEL 056 001 ZONE
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Building Permit Filled out I f —d
Fee Paid 0
Typeof Construction: INSTALL A/C SYSTEM
New Construction —
Non Structural interior renovations
Addition to Existing
Accessory Structure
Building Plans Included:
Owner/Statement or License 905
3 sets of Plans/Plot Plan
THE FO WING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INFO ATION PRESENTED:
pproved Additional permits required(see below)
PLANNING BOARD PERMIT REQUIRED UNDER: § _
Intermediate Project: Site Plan AND/OR Special Permit with Site Plan
Major Project: Site Plan AND/OR Special Permit with Site Plan
ZONING BOARD PERMIT REQUIRED UNDER: § _
Finding Special Permit Variance*
Received&Recorded at Registry of Deeds Proof Enclosed _
Other Permits Required:
Curb Cut from DPW Water Availability Sewer Availability
Septic Approval Board of Health Well Water Potability Board of Health
Permit from Conservation Commission Permit from CB Architecture Committee
,' • E p.. treet •mmission Permit DPW Storm Water Management
Signature of Buil•mg Official Date
Note:Issuance of a Zoning permit does not relieve a applicant's burden to comply with all zoning
requirements and obtain all required permits from Board of Health,Conservation Commission,Department
of public works and other applicable permit granting authorities.
*Variances are granted only to those applicants who meet the strict standards of MGL 40A.Contact the Office of
Planning&Development for more information.
41 REDFORD DR SM-2014-0008
COMMONWEALTH OF MASSACHUSETTS
CITY OF NORTHAMPTON
GIS#: 17143 tNaMp
Map: 36 41` '�
Bock: 006 ��- .� .. SHEETMETAL PERMIT
: rya
Permit: SHEETMETAL '
jCategory: SHEETMETAL
Permit# SM-2014-0008 PERMISSION IS HEREBY GRANTED TO:
'Project# JS-2014-000031
Est.Cost: $5,700.00 Contractor: License: Expires:
Fee — A PLUS HVAC INC Sheetmetal-905
Fe Chargeed:$50.00 11/28/2013
Balance Due:$.00 Owner: ALHASSAN SOFIYA
#of Fixtures: Applicant: A PLUS HVAC INC
DigSafe# ! AT: 41 REDFORD DR
UseGroup
ConstClass
ISSUED ON: 26-Jul-2013 AMENDED ON: EXPIRES ON:
TO PERFORM THE FOLLOWING WORK:
INSTALL A/C SYSTEM
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REGULATIONS.
Signature:
Fee Type: Receipt No: Date Paid: Check No: Amount:
Sheetmetal REC-2014-000353 23-Jul-13 4548 $50.00
212 Main Street,Phone:(413)587-1240,Fax:(413)587-1272,Email:lhasbrouck®northamptonma.gov
GeoTMS®2013 Des Lauriers Municipal Solutions,Inc.